Quality Report


Quality Report

Mayo Clinic Health System - Southwest Minnesota Region

DBA: Mayo Clinic Health System - Mankato
HCO ID: 8148
1025 Marsh Street
Mankato, MN, 56001-4752
(507) 594-2646
http://mayoclinichealthsystem.org/locations/mankato
Summary of Quality Information

Accreditation Programs

Gold Seal
Home Care
Accreditation Decision
Effective Date
4/2/2022
Last Full Survey Date
4/1/2022
Last On-Site Survey Date
4/1/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
4/15/2023
Last Full Survey Date
4/1/2022
Last On-Site Survey Date
4/14/2023

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
1/13/2024
Last Full Survey Date
1/12/2024
Last On-Site Survey Date
1/12/2024

Sites

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
625 South 4th Street
Le Sueur, MN, 56058

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mayo Clinic Health System - Southwest Minnesota Region
DBA: DBA - Mayo Clinic Health System - Mankato
1400 Madison Avenue, Suite 100B
Mankato, MN, 56001

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Diagnostic Imaging Department

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1400 Madison Avenue, Suite 100AA
Mankato, MN, 56001

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Health and Rehabilitation

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1400 Madison Avenue, Suite 324A
Mankato, MN, 56001

Available Services

  • Hospice Care

Other Clinics/Practices Located at This Site:

  • Hospice

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1400 Madison Avenue, Suite 200
Mankato, MN, 56001

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Speciality Clinic

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1695 LorRay Drive
North Mankato, MN, 56003

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Northridge Clinic

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1900 North Sunrise Drive, Suite 200
Saint Peter, MN, 56082

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • St. Peter Clinic

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
1025 Marsh Street
Mankato, MN, 56001-4752

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Hospital

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Mankato
101 Martin Luther King Jr. Drive
Mankato, MN, 56001

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Eastridge Clinic
  • Mankato Family Medicine Residency Program

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.